Mandatory

So what are the mandatory standards?

URAC has always had mandatory standards. However, only with version 1.0 of the Core standards developed in the early part of this decade did the current notion of “mandatory standard” emerge. Mandatory standards typically, but do not always, have to do with consumer protection. A mandatory standard is any standard that has a weight of “5”.

In order to be fully accredited, an applicant must score at least 2 out of a possible 4 points on every mandatory standard. You can only get a score of two if you pass all of the “primary” elements of a standard. Therefore, what really is mandatory is that an applicant pass all of the primary elements of all of the mandatory standards.

The mandatory standards for the Health Call Center module are:

HCC - 2 - Clinical Director Consultation
HCC - 3 - Limitations in Use of Non-Clinical Staff
HCC - 5 - Clinical Triage Staff Qualifications
HCC - 6 - Clinical Decisions Support Tool Requirements
HCC - 7 - Clinical Decisions Support Tool Documentation
HCC - 13 - Clinical Staff Response Requirements
HCC - 14 - Handling of Triage Calls
HCC - 21 - Feedback to Physician

Naturally, an applicant for HUM also will have to meet all the mandatory standards for Core, v. 2.1, posted here.